Help! I have extreme nose distortion after my MOHs surgery. The surgical deviation was 7mm wide(2 swipes), plastic surgeon chose a linear closure. My nostril is raised on the side that was repaired is extremely elevated. The surgeon did not come by after surgery. I don’t want to go back to her due to lack of trust. What do I do? How soon can I have it repaired? I am public facing(medical sales) this will 1000% impact my career and self esteem.
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August 16, 2024
Answer: A scar revision is going to be needed to improve appearance of this scar.
Your best option is to repeat the Mohs procedure. Recurrent skin cancer can be a bit sneaky and hard to see its full extent. I would strongly recommend you have it removed with a Mohs technique.
Studies show that Mohs surgery has the highest cure rate AND is associated with the most tissue sparing approach. Mohs takes a very small margin around the edge of the tumor, and looks at the most complete margin. So Mohs is the way to go for sure, and it is quite common to have to wait several...
Superficial BCC commonly has very ill-defined edges, and larger sites can quite often have a deeper component (nodular) or extend down hair follicular structures. So for an ill-defined tumor in the scalp that appears to be at least 8mm in size, I agree with the recommendation of Mohs rather than...